Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Neurobehavioral Status Xm Phys/Qhp 1st Hour
Eureka, IL
See all hospitals reporting CPT 96116 →Price type
Carle Eureka Hospital’s median price of $166 is 38% below the median hospital's median price ($269), higher than 24% of the 1,610 hospitals reporting CPT 96116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $79 | $79 | — | — | — | $79 – $79 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $81 | $81 | — | — | — | $81 – $81 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $83 | $83 | — | — | — | $83 – $83 |
| 7 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 8 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $97 | $97 | $42 | 43% | — | $55 – $138 |
| 9 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $97 | $97 | $42 | 43% | — | $55 – $138 |
| 10 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $97 | $97 | $42 | 43% | — | $55 – $138 |
| 11 | Aetna commercial fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 12 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $218 | $218 | $93 | 43% | — | $124 – $311 |
| 13 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $218 | $218 | $93 | 43% | — | $124 – $311 |
| 14 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $218 | $218 | $93 | 43% | — | $124 – $311 |
| 15 | WellCare medicare advantage hmo case rate · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 16 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $232 | $232 | $100 | 43% | — | $132 – $332 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $297 | $297 | $127 | 43% | — | $169 – $424 |
| 18 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $298 | $298 | $128 | 43% | — | $170 – $426 |
| 19 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $320 | $320 | $137 | 43% | — | $182 – $457 |
| 20 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $320 | $320 | $137 | 43% | — | $182 – $457 |
| 21 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $324 | $324 | $139 | 43% | — | $185 – $463 |
| 22 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $363 | $363 | $156 | 43% | — | $207 – $518 |
| 23 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $406 | $406 | $174 | 43% | — | $232 – $580 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $428 | $428 | — | — | — | $428 – $428 |
Last updated: Apr 15, 2026
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